Pidvalna U. Ye.
CORRELATION OF THE DIAMETER OF THE ASCENDING AORTIC WITH AGE AND ANTHROPOMETRIC PARAMETERS IN MEN WITH MARFAN SYNDROME: A CT STUDY
Show/Download
About the author:
Pidvalna U. Ye.
Heading:
MORPHOLOGY
Type of article:
Scientific article
Annotation:
This study explores the correlation between the diameter of the ascending aortic with anthropometric parameters and age in Ukrainian men with Marfan syndrome. DICOM files from ECG-triggered contrast-enhanced computed tomography scans were used with measuring the diameters of the ascending aortic segments. Diameter of the aorta were measured at the levels of: aortic annulus, sinotubular junction, sinuses of Valsalva, at the level of pulmonary trunk bifurcation, before the brachiocephalic trunk and maximal ascending aortic diameter. Marfan syndrome diagnose was primarily established by the Ghent nosology. Statistical analyses, including Student’s t-test, Pearson’s linear correlation, and multiple regression, were conducted. The study found a direct correlation between height and the diameter of the aorta at the sinotubular junction and an inverse correlation between height and the diameter of the high-ascending aortic. No significant correlations were found between the diameters of the ascending aortic and age, weight, body mass index or body surface area. The results suggest that in men with Marfan syndrome, the diameter of the ascending aortic at the sinotubular junction increases with height. In contrast, the high-ascending aortic diameter decreases, with other factors showing no significant impact.
Tags:
Bibliography:
- Grewal N, Gittenberger-de Groot AC. Pathogenesis of aortic wall complications in Marfan syndrome. Cardiovascular Pathology. 2018;(33):62-9.
- Martín C, Evangelista A, Serrano-Fiz S, Villar S, Ospina V, Martínez D, et al. Aortic Complications in Marfan Syndrome: Should We Anticipate Preventive Aortic Root Surgery? Ann Thorac Surg. 2020;109(6):1850-7.
- Wenzel JP, Petersen E, Nikorowitsch J, Müller J, Kölbel T, Reichenspurner H, et al. Aortic root dimensions as a correlate for aortic regurgitation’s severity. Int J Cardiovasc Imaging. 2021;37(12):3439-49.
- Chang HW, Kim SH, Hakim AR, Chung S, Kim DJ, Lee JH, et al. Diameter and growth rate of the thoracic aorta-analysis based on serial computed tomography scans. J Thorac Dis. 2020;12(8):4002-13.
- Suleiman MN, Freilinger S, Meierhofer C, May M, Bischoff G, Ewert P, et al. The relation of aortic dimensions and obesity in adults with Marfan or Loeys-Dietz syndrome. Cardiovasc Diagn Ther. 2022;12(6):787-802.
- Lembrança L, Teivelis MP, Tachibana A, Dos Santos RS, Joo RW, Zippo E, et al. Thoracic aortic size in Brazilian smokers: measures using low-dose chest computed tomography anatomical and epidemiological assessment. Clinics (Sao Paulo). 2021;76:e2315.
- Renner S, Schüler H, Alawi M, Kolbe V, Rybczynski M, Woitschach R, et al. Next-generation sequencing of 32 genes associated with hereditary aortopathies and related disorders of connective tissue in a cohort of 199 patients. Genetics in Medicine. 2019;21(8):1832-41.
- Hennessey B, Vera-Urquiza R, Mejía-Rentería H, Gonzalo N, Escaned J. Contemporary use of coronary computed tomography angiography in the planning of percutaneous coronary intervention. Int J Cardiovasc Imaging. 2020;36(12):2441-59.
- Kolck J, Trippel TD, Philipp K, Gehle P, Geisel D, Beetz NL. Updated 2022 ACC/AHA Guideline Improves Concordance Between TTE and CT in Monitoring Marfan Syndrome and Related Disorders, but Relevant Measurement Differences Remain Frequent. Glob Heart. 2024;23.
- Isselbacher EM, Preventza O, Hamilton Black J, Augoustides JG, Beck AW, Bolen MA, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022;146(24).
- Saade W, Vinciguerra M, Romiti S, Macrina F, Frati G, Miraldi F, et al. 3D morphometric analysis of ascending aortic as an adjunctive tool to predict type A acute aortic dissection. J Thorac Dis. 2021;13(6):3443-57.
- Forte E, Punzo B, Salvatore M, Maffei E, Nistri S, Cavaliere C, et al. Low correlation between biometric parameters, cardiovascular risk factors and aortic dimensions by computed tomography coronary angiography. Medicine. 2020;99(35):e21891.
- Massias SA, Pittams A, Mohamed M, Ahmed S, Younas H, Harky A. Aortic root enlargement: When and how. J Card Surg. 2021;36(1):229- 235.
- 1Flachskampf FA. How Exactly Do You Measure That Aorta? Lessons from Multimodality Imaging. JACC Cardiovasc Imaging. 2016;9(3):227-9.
Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 3, 174, 310-317 pages, index UDC 616.132.13:616-018.2:572.511.4]-055.1